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Home My WebLink AboutPermit Plumbing 2011-4-6 Phimlifug Permit Application ;<\;~1~;rDEPARTMENT:IfSEfQNtY:~~ '. . ','" ,'-. ,-'.-" ',', " '.' ':, -, ,:". . ";;~~"> 225 Fifth Street. Springfield, OR 97477 . PH(541)726-3753,t FAX(541)726-3689 Permitno.:sPILZCfl-oo S , Date: This permit is issued uuder OAR 918-780-0060. Permits are issued only to the person or contractor doing the work. Permits expire if work is not started within 180 days of issuance or if work is suspended for 180 days. '}if*.I;.ff(;1;k;?lIfOCAl..t;'G()VERNMENT:,f);I?F'ROVAI!'1.1~~?:(1'ff;;:'"i'1~ Zoning approval verified? DYes D No Sanitation approval verified? DYes D No CATEGORy' OF,. CONSTRUCT:ION Address: City: ZIP: Cfll\77 Phone: b E-mail: This installation is,being- made on residential or farm property owned by me or a member of my immediate family, and is exempt from licensing requirements ,under OAR 9] 8-695-0020. Business name: E-mail: CCB license no.: <6V\qL BCD license no.: Plumbing license no.: /Q)S.::s? Print name: oW,\-- ~"iS Signature: ATTENTION: Oregon law requires you to fOll,o,w r~les adopted by the Oregon Utility Notification Center. Those rules are set forth In OAR 952-001-00~0 through OAR 952-001- 0090.. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344), 440-2500-J (II/OS/COM) :."./1"., ;~~~';~s1J';'lr&!l~:~f~t~~~~~k~;FZ-EEf~_S,C H Eb:ij.IIE}i~:~~:t~.~,~ff~~l~~~~~~~%l New residential 1 bathroomll kitchen (includes: first 100 feet of water/sewer lin.es, hose bibs, ice maker. under floor low-point drains and rain-drain packages) 2 bathrooms/! kitchen $374.00 3 bathrooms/! kitchen $439.00 Each additional bathroom (over 3) $95.00 Each additional kitchen (over I) $95.00 Residential fire s rinklers (includes Ian review) o to 2,000 square feet $58.00 2,001 to 3,600 square feet $116.00 3,601 to 7,200 square feet $174.00 7,201 square feet and greater $232.00 Manufactured dwelling or pre-fab (circle one) Connections to building sewer and - water supply Commercial, industrial, and dwellings other than one- or two-family Minimum fee $238.00 $ $ $ $ $ $ $ $ $ $ Each fixture Miscellaneous fees 100' storm, sewer, water line Each fixture, appurtenance, and piping Stann water retention/detention facility Irrigation systems Piping or private storm drainage s stems exceedin the first 100 feet Specialty fixtures Reinspection (no. ofhrs. x fee per hr.) Special requested inspections (no. of hrs. x fee per hr.) Each additional inspection: (1) $76.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $19.00 $ $58.00 $ $58.00 $ $58.00 $ Mjnimum fee $ Enter value of installation and equipment $ Enter fee based on installation and equipment value. $ ~1?l~~~i(e)~~C'iCANT~ilis'E~~~~::W~_~ (A) Enter subtotal.ofabove fees $ ...?~ (Minimum Permit Fee $58.00) .J (B) Inv ]) (C) Enter 12% surcharge (.12 x [A+B]) (D) Technology Fee (5% of [A]) TOTAJ",(e$!!!,!..d surcharges (A through D): 8~ UIJ I rt..rc. ,'.- " -- THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00559 IVR Number: 811142907657 www.cLspringfield.or.U5 PROJECT STATUS: STATUS DATE: ISSUED: APPLIED: Issued 04/06/2011 04/06/2011 04/06/2011 225 Fifth Sf Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permilce nter@ci.springfield.or.us EXPIRES: VALUE: 10/03/2011 $0.00 SITE ADDRESS: 1232 ISLAND ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342200214 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Moving kitchen sink Phone Number: OWNER: ADDRESS: JORDAN THEODORE H & DIANA J 1232 ISLAND ST SPRINGFIELD OR 97477 CONTRACTOR INFORMATION ~ Contractor Type Plumbing Contractor Contractor Name CHAPIN ENTERPRISES INC # of Units: o Lie Type CCB BUILDING INFORMATION ~ # of Stories: Height of Structure: Type of Heat: Water Type: Range Type: Hazmat: c # of Bedrooms: Sprinkled Building: Fire Alarms: Energy Path:' Electrical Specialty Code Edition: Springfield Fire Code Edition: Mechanical Specialty Code Edition: Municipal I Development Code: Plumbing Specialty Code Edition: Residential Specialty Code Edition: Structural Specialty Code Edition: Lic No 81994 Lic Exp 06/02/2012 Phone 541-485-1146 Lot Size: Sq Ft 1 st Floor: Sq Ft 2nd Floor: Sq Ft Basement: Sq Ft Garage: Sq Ft Carport: Sq Ft Other: 0 Occupancy Load: Site Infonnation ~ .- Engineered Fill: Fill Volume: Flood Hazard Area: Land Hazard ^'I"I'ENTION: Oregon law requires you to Retaining W'llllow rules adopted by the Oregon Utility Soils Repo'N&'lflf!J!AA;n Center. Those rules are set forth in OAR 952-001-001 0 through OAR 952-001- 0090. You may obtain copies of the rules by calling the center. (Note: the telephone number for the Oregon Utility Notification Center is 1-800-332-2344). NOTICE: -. THIS PERMIT SHALL EXPIRE IF THE WORK AUTHORIZED UNDER THIS PERMIT IS NOT COMMENCED OR IS ABANDONED FOR ANY 180 DAY PERIOD. Springfield Building Permit 4f6/2011 1 :20:36PM . Page 1 of3 SP~N:~.I~L~ ~,~ ~OREGON www.ci.springfield.or.us CITY OF SPRINGFIELD Building I Residential Permit PERMIT NO: 811-SPR2011-00559 IVR Number: 811142907657 225 Fifth St Springfield, OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenler@cLspringfield.or,us PROJECT STATUS: STATUS DATE: Issued 04/06/2011 ISSUED: APPLIED: 04/06/2011 04/06/2011 EXPIRES: VALUE: 10/03/2011 $0.00 SITE ADDRESS: 1232 ISLAND ST, Springfield, OR 97477 ASSESOR'S PARCEL NO: 1703342200214 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Frontyard Setback: Interior Setback: Sideyard Setback: Rearyard Setback: Solar Setback: Moving kitchen sink DEVELOPMENT INFORMATION ~ Overlay Oist: # Street Trees Reqd: Paved Drive Reqd: % of Lot Coverage: Highest point on structure to north properly line: REQUIRED PARKING Total: Handicapped: Compact: PUBLIC IMPROVEMENTS ~ Street Improvements: Storm Sewer: Storm Sewer Available: Special \nstructon: Subdivision Accepted: Notes: Sidewalk Type: Downspout/Drains: Valuation Description , Description Tvpe of Construction Unit Amount Unit Tvpe Unit Cost Value FEES PAID ~ Description State of Oregon Surcharge (12% of applicable fees) !ec~no~~gy fee (5% of permit .~otal) Sink/basin/lavatory Balance of Minimum Plumbing Permit Fees Total Amount Paid Amount Paid $6.96 $2.90 $19.00 $39.00 $67.86 Date Paid 04/06/2011 04/06/2011 04/06/2011 04/06/2011 Reciot # 2011000672 2011000672 2011000672 2011000672 Springfield Building Permit 4/6/2011 1 :20:36PM Page 2 of 3 SPRIN..G F"IE"L~ .C~~4 ;;'~~ . hl<;,,,,,,,,, OREGON www.cLspringfield.OLUS CITY OF SPRINGFIELD Building f Residential Permit PERMIT NO: 811-SPR2011-00559 IVR Number: 811142907657 225 Fifth SI Springfield,OR 97477 Phone: 541-726-3753 Inspection Phone: 541-726-3769 Fax: 541-726-3676 permitcenter@cLspringfield.or.us PROJECT STATUS: STATUS DATE: Issued 04/06/2011 ISSUED: APPLIED: 04/06/2011 04/06/2011 EXPIRES: VALUE: 10/03/2011 $0.00 SITE ADDRESS: 1232 ISLAND ST, Springfield, OR 97477 ASSES OR'S PARCEL NO: 1703342200214 SCOPE: Plumbing Only WORK INVOLVED: Alteration TYPE OF STRUCTURE: Residential PROJECT DESCRIPTION: Moving kitchen sink Plan Review ~ / Deoartment Permit Issuance Received Due Date 04/06/2011 04/06/2011 Comoleted 04/06/2011 Result Issued Reviewer David Bowlsby Initial Review 04/06/2011 04/06/2011 04/06/2011 Over the Counter David Bowlsby Comments: Over the counter permit :Ap-PliCailon-AC2ep;ance~:,:~' _~' ,cMr6'6/20;i l' ,f04/06/391J- - 04/06/201J' L:i~" .".,~;'~~~'~, .;};.:Zt~:tl'~{?, ;,.~~~~,\ 'I" ".,t,i<~; ~~: ;y iJ.i~~:':/~": ~ '-- "_:."rOver'1M,Counter ;.4;.. Da\,i~"J39wlsby :::~,::,,::"'$:" -:~'<,,,*, "'.;-" {...;<;: -: ' ."::-~~"",- __,,___ -f ... - '" ,. -- -"'/--'-- ~-~-_.''"S-.I c _ _"'_______,____~__ INSPECTIONS REQUIRED ~ Inspections 3500 Rough Plumbing 3999 Final Plumbing Ro.ugh Plumbing: Prior to cover and including required testing. Final Plumbing: When all plumbing work is complete. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and 1 further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State or Oregon pertaining to the work described herein, and that NO OCCUPANCY will be made of any structure without permission of the Community Services Division, Building Safety. I further certify that only contractors and employees who are in compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested, at the proper time, that each address is readable from the street, that the permit card is located at the front of the property, and the approved set of plans will remain on the site at all times during construction, ~ L/~ 6 - /1 Owner or Contractor Signature Date Springfield Building Permit 4/6/2011 1:20:36PM Page 3~f3 l , ," www.ctspringfie\d.cr.us TRANSACTION RECEIPT 811-SPR2011-00559 1232 ISLAND ST CITY OF SPRINGFIELD 225 Fifth St Springfield,OR 97477 541-726-3753 permilcenter@ci,springfield.or.us RECEIPT NO: 2011000672 RECORD NO: 811-SPR2011-00559 DATE: 04/06/2011 l6ESCRIP.:"IOIli~~.::,"i,tTi~~'::<;;"~ '\"'i~r~:-' ..A.cc'oUN,.:cbbE~- .<,~:;.; ," AMO-UNt[)UE___:~^__:: Balance of Minimum Plumbing Permit Fees 224-00000-425603 39.00 Sink/basin/lavato.r.y 224-00000-425603 19.00 State of Oregon Surcharge (12% of applicable fees) 821-00000-215004 6.96 Technology fee (5% of permit total) 100-00000-425605 2.90 TOTAL DUE: 67.86 i'c-bMMENfs""i~'Jj.35~.;S-; ':;;,;;AMOON1;iPAID ',: ':'-.' I _..~_.____._.._...___~_. _ .__~_-Ao.f.. _ .:.:..-.-J 67.86 LR~yI\iiEtiI.iYfiE~;: ::R~y'Q.i!-;t:"GAsHIER?DBoWLSBy!f:: Credit Card robert adams jr 95500p TOTAL PAID: 67.86